| Psychological Clinic | |
|
337 Moore Building University Park PA 16802-3103 | |
| (814) 865-2191 | |
| (814) 863-1331 |
| Full Name | Psychological Clinic |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 337 Moore Building, University Park, Pennsylvania |
| Authorized Official Name and Position | Hannah Noel Holsing (COMPLIANCE SPECIALIST) |
| Authorized Official Contact | 8148632680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Clinic 337 Moore Building University Park PA 16802-3103 Ph: (814) 865-2191 | Psychological Clinic 337 Moore Building University Park PA 16802-3103 Ph: (814) 865-2191 |
| NPI Number | 1386784593 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 8426002908 |
|---|---|
| Medicare Enrollment ID | O20050308000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386784593 | NPI | - | NPPES |
| 100270742-0042 | Medicaid | PA | |
| 75990 | Other | PA | EVERNORTH/CIGNA |
| 100270742-0041 | Medicaid | PA | |
| 1997358 | Other | PA | HIGHMARK BLUE SHIELD |
| 50003816 | Other | PA | CAPITAL BLUE CROSS |
| 1000740 | Other | PA | COMMUNITY CARE BEHAVIORAL HEALTH |
| Provider Name | Aaron L Pincus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497764427 PECOS PAC ID: 3173577699 Enrollment ID: I20050308000936 |
| Provider Name | Peter Andrew Arnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215946249 PECOS PAC ID: 2062466444 Enrollment ID: I20050309000124 |
| Provider Name | Michael M Keil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629041181 PECOS PAC ID: 5597784322 Enrollment ID: I20051122000104 |
| Provider Name | Maegan R Mapes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225092943 PECOS PAC ID: 4587647573 Enrollment ID: I20070823000880 |
| Provider Name | Jose A Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952597122 PECOS PAC ID: 1658565304 Enrollment ID: I20101027000497 |
| Provider Name | Bettina M Welz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033201884 PECOS PAC ID: 7113112707 Enrollment ID: I20101109000583 |
| Provider Name | Kristen Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306855333 PECOS PAC ID: 3971583600 Enrollment ID: I20101203001070 |
| Provider Name | Leslie A Purcell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477656759 PECOS PAC ID: 9032180625 Enrollment ID: I20110513000632 |
| Provider Name | Michael C Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831511591 PECOS PAC ID: 9133347768 Enrollment ID: I20140823000228 |
| Provider Name | Amanda Jordan Byrd |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386936060 PECOS PAC ID: 6002153368 Enrollment ID: I20190124000324 |
| Provider Name | Jennifer Murray Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689192692 PECOS PAC ID: 9739516121 Enrollment ID: I20200225000464 |
| Provider Name | Kelly Corinne Berthold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376078089 PECOS PAC ID: 6800225343 Enrollment ID: I20200403000210 |
| Provider Name | Sandra T Michelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598241465 PECOS PAC ID: 0648677591 Enrollment ID: I20210921000806 |
| Provider Name | Colin O Mcentee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194067553 PECOS PAC ID: 3173880895 Enrollment ID: I20231218001313 |
| Provider Name | Ashley Schrag |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386046308 PECOS PAC ID: 6507216256 Enrollment ID: I20231221001897 |
| Provider Name | Elizabeth C Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912594128 PECOS PAC ID: 2365892361 Enrollment ID: I20240102004163 |
Center For Counseling And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Student Health Ctr, University Park, PA 16802 Phone: 814-863-0395 |